Kirsteins A E, Dietz F, Hwang S M
Department of Physical Medicine and Rehabilitation, Charlotte Rehabilitation Hospital, North Carolina 28203.
Am J Phys Med Rehabil. 1991 Jun;70(3):136-41. doi: 10.1097/00002060-199106000-00005.
The safety of a traditional Chinese exercise, Tai-Chi Chuan, on rheumatoid arthritis (RA) patients was evaluated. RA patients, who received 1 h of Tai-Chi Chuan instruction once (n = 20) and twice (n = 15) a week for 10 consecutive wk in two separate studies, showed no deterioration in their clinical disease activities compared with the corresponding controls (n = 11 and 9, respectively). Testing parameters included joint tenderness, joint swelling, time to walk 50 feet, handgrip strength and a written functional assessment. No significant exacerbation of joint symptoms using this weight-bearing form of exercise was observed. Tai-Chi Chuan exercise appears to be safe for RA patients and may serve as an alternative for their exercise therapy and part of their rehabilitation program. Weight-bearing exercises have the potential advantages of stimulating bone growth and strengthening connective tissue, but this effect needs to be documented in long-term studies.
对一种中国传统运动太极拳对类风湿性关节炎（RA）患者的安全性进行了评估。在两项独立研究中，RA患者连续10周每周接受一次（n = 20）和两次（n = 15）1小时的太极拳指导，与相应对照组（分别为n = 11和9）相比，其临床疾病活动度没有恶化。测试参数包括关节压痛、关节肿胀、行走50英尺的时间、握力和书面功能评估。未观察到使用这种负重运动形式会使关节症状明显加重。太极拳运动对RA患者似乎是安全的，可作为他们运动疗法的替代方法以及康复计划的一部分。负重运动具有刺激骨骼生长和强化结缔组织的潜在优势，但这种效果需要在长期研究中得到证实。
